| NPI | 1427224286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOONG KYUN SHIN Exective Director 773-545-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 6063001) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2022-07-21 |